L2624 HCPCS code: Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each
L2624 is the HCPCS Level II code for addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each. The 2026 Medicare DMEPOS fee schedule pays $257.00 to $876.33 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on DME suppliers. Its average fee ranks 10 of 13 L26 codes (family range $152.90–$2,216.41).
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1988-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L2624
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $257.00 | $876.33 | $507.36 | $380.52 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $819.52 | — |
| AL | — | $479.06 | — |
| AR | — | $408.59 | — |
| AZ | — | $507.36 | — |
| CA | — | $507.36 | — |
| CO | — | $380.52 | — |
| CT | — | $380.52 | — |
| DC | — | $380.52 | — |
| DE | — | $380.52 | — |
| FL | — | $479.06 | — |
| GA | — | $479.06 | — |
| HI | — | $876.33 | — |
| IA | — | $448.85 | — |
| ID | — | $380.52 | — |
| IL | — | $479.52 | — |
| IN | — | $479.52 | — |
| KS | — | $448.85 | — |
| KY | — | $479.06 | — |
| LA | — | $408.59 | — |
| MA | — | $380.52 | — |
| MD | — | $380.52 | — |
| ME | — | $380.52 | — |
| MI | — | $479.52 | — |
| MN | — | $479.52 | — |
| MO | — | $448.85 | — |
| MS | — | $479.06 | — |
| MT | — | $380.52 | — |
| NC | — | $479.06 | — |
| ND | — | $380.52 | — |
| NE | — | $448.85 | — |
| NH | — | $380.52 | — |
| NJ | — | $407.46 | — |
| NM | — | $408.59 | — |
| NV | — | $507.36 | — |
| NY | — | $407.46 | — |
| OH | — | $479.52 | — |
| OK | — | $408.59 | — |
| OR | — | $380.52 | — |
| PA | — | $380.52 | — |
| PR | — | $257.00 | — |
| RI | — | $380.52 | — |
| SC | — | $479.06 | — |
| SD | — | $380.52 | — |
| TN | — | $479.06 | — |
| TX | — | $408.59 | — |
| UT | — | $380.52 | — |
| VA | — | $380.52 | — |
| VI | — | $407.46 | — |
| VT | — | $380.52 | — |
| WA | — | $380.52 | — |
| WI | — | $479.52 | — |
| WV | — | $380.52 | — |
| WY | — | $380.52 | — |
How the L2624 fee compares
| Measure | Value |
|---|---|
| Rank among 13 L26 codes (lowest = 1) | 10 |
| Family fee range (average of state fees) | $152.90–$2,216.41 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
| outpatient hospital claims | 2 | Anatomic Consideration |
What changed for L2624
- 2026-01-01: Average state fee rose 2.0%: $429.82 to $438.42
- 1988-01-01: L2624 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code L2624?
L2624 is the HCPCS Level II code for addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each. Short descriptor: "Hip adj flex ext abduct cont".
How much does Medicare pay for L2624?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $257.00–$876.33. Rural fees can be higher.
Does Medicare cover L2624?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2624 change in 2026?
The average non-rural state fee moved from $429.82 in 2025 to $438.42 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2624 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L26 codes
- L2600 — Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ($102.32–$528.96)
- L2610 — Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ($133.09–$587.25)
- L2620 — Addition to lower extremity, pelvic control, hip joint, heavy duty, each ($204.45–$558.30)
- L2622 — Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ($180.88–$699.76)
- L2627 — Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ($1,493.68–$2,626.58)
- L2628 — Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ($1,925.23–$2,566.97)
- L2630 — Addition to lower extremity, pelvic control, band and belt, unilateral ($284.55–$809.00)
- L2640 — Addition to lower extremity, pelvic control, band and belt, bilateral ($386.17–$958.94)
- L2650 — Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ($51.03–$183.86)
- L2660 — Addition to lower extremity, thoracic control, thoracic band ($81.66–$307.20)
- L2670 — Addition to lower extremity, thoracic control, paraspinal uprights ($51.03–$261.85)
- L2680 — Addition to lower extremity, thoracic control, lateral support uprights ($51.03–$239.76)
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Next steps
- Run a reimbursement report for a device billed under L2624
- Watch L2624 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2624
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.